Individual
DR. MILAD MOHAMMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
718 LEXINGTON AVE.,, SUITE 102, SAN ANTONIO, TX 78212
(210) 420-8671
(210) 899-1958
Mailing address
718 LEXINGTON AVE STE 102, SAN ANTONIO, TX 78212-4790
(210) 420-8671
(210) 899-1958
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
R3713
TX
2086S0129X
Vascular Surgery Physician
Primary
R3713
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
391672809
—
TX
Enumeration date
06/06/2012
Last updated
06/12/2024
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